Combined Use of Ultrasound-Assisted Liposuction and Limited-Incision Platysmaplasty for Treatment of the Aging Neck

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Combined Use of Ultrasound-Assisted Liposuction and Limited-Incision Platysmaplasty for Treatment of the Aging Neck"

Transcription

1 Aesth Plast Surg (2008) 32: DOI /s x ORIGINAL ARTICLE Combined Use of Ultrasound-Assisted Liposuction and Limited-Incision Platysmaplasty for Treatment of the Aging Neck Patrick P. G. M. Rooijens Æ Hans-Peter Zweep Æ Werner H. Beekman Received: 9 April 2008 / Accepted: 26 June 2008 / Published online: 25 July 2008 Ó The Author(s) 2008 Abstract Background Many techniques have been introduced for the surgical treatment of the aging neck. In this study the combination therapy of ultrasound-assisted liposuction and limited-incision platysmaplasty for cervicofacial rejuvenation is presented. Methods Fifteen female patients (age = years) were treated for grade II III (n = 2), III (n = 6), and grade IV (n = 7). The outcome of surgery was retrospectively evaluated by a panel. Results Ultrasonic energy was applied for an average of 2 min (range = 45 s 6.5 min). The mean aspiration volume was 125 ml. No immediate or delayed adjuvant skin reduction was needed in any of the patients. No complications were encountered in this series. After treatment significant improvement of the cervicomental angle was observed. Conclusion For treatment of all grades of the aging neck we advocate the combination of UAL and limited-incision platysmaplasty. This combination therapy has little morbidity and leads uniformly to significant improvement of the cervicomental angle. Keywords Aging neck Liposuction Ultrasonic Platysmaplasy P. P. G. M. Rooijens (&) Department of Plastic and Reconstructive Surgery, VU Medical Center, De Boelelaan 1117, 1007 MB Amsterdam, The Netherlands H.-P. Zweep W. H. Beekman Department of Plastic and Reconstructive Surgery, Tergooiziekenhuizen, location Hilversum, Van Riebeeckweg 212, 1213 XZ Hilversum, The Netherlands Introduction Many techniques have been introduced for the surgical treatment of the aging neck [1 13]. Most techniques involve a face-lift procedure. However, this procedure is not necessary for every patient who presents with redundancy of skin or accumulation of fat in the submental area and adjacent neck. They may be satisfied with a less invasive procedure, reducing downtime but still getting an optimal result. Until now, there were no studies in the literature that described the combined use of ultrasoundassisted liposuction (UAL) and limited-incision platysmaplasty for the treatment of the aging neck. In this report the combination therapy of UAL and platysmaplasty for cervicofacial rejuvenation is presented in a retrospective study of 15 selected patients. Patients and Methods Patients Fifteen patients who sought neck rejuvenation were included in this study. According to the classification advocated by Knize (Fig. 1) [8], two patients were included with a grade II III, a mild to moderate cervicomental angle deformity; six patients with a grade III, moderate ; and seven patients with a grade IV, severely oblique cervicomental angle (Table 1). Surgical Technique To prevent bias, all patients were treated by one surgeon. The patients were operated on in day-care surgery. All markings were made with the patient in an upright position.

2 Aesth Plast Surg (2008) 32: Fig. 1 Classification of cosmetic deformity of the neck. Grade I: normal cervicomental angle; grade II: mild; grade III: moderate; grade IV: severely oblique cervicomental angle [8] Table 1 Degree of preoperatively, number of patients treated, and postoperative grade Preoperative grade Number of patients Postoperative grade II III 2 I 1 I II 1 III 6 I II 2 II 4 IV 7 II 2 II III 1 III 4 Number of patients Concentric topography-type marks were centered on the most prominent portion of the submental region. The incision site just posterior to the submental crease was also defined. Patients were operated on under general anesthesia in the supine position, with the neck extended on a surgical headrest. Preoperatively 1 g of flucloxacillin (Glaxo- SmithKline BV, Zeist, the Netherlands) was administered intravenously during induction. A stab incision just posterior to the submental crease was made to facilitate tumescent infiltration with a solution of 1 l of 0.9% NaCl, 25 ml of 1% lidocaine, 1 ml of 1:100,000 epinephrine, and 12.5 ml of 8.4% sodium bicarbonate [14]. Liposuction was performed using an ultrasonic generator (Lysonix; Mentor Corporation, Santa Barbara, CA) with an open-tip 3-mm cannula. This cannula was passed multiple times in a fanlike pattern to emulsify the fatty tissue. Final evacuation of liquefied fatty tissue and contouring of the neck was performed with a standard 3-mm cannula (Tulip; Tulip Biomed, San Diego, CA). Subsequently, the platysmaplasty was performed by extending the stab incision up to 3 cm. The submental skin was undermined to the level of the cricoid cartilage and raised with a retractor. The medial platysma muscle edges were identified and raised and the subplatysmal plane was inspected for excess fat depositions. If present, the subplatysmal fat was resected. Finally, the medial platysma muscle edges were approximated in the midline using mattress or figure-of-eight plicating sutures of Vicryl 3 0 (Ethicon GmbH, Johnson & Johnson, Hamburg, Germany). After secure hemostasis, the wound was closed in layers with interrupted subcutaneous Vicryl 4 0 and a continuous intracutaneous Monocryl 5 0 (Ethicon GmbH, Johnson & Johnson) suture. A chin strap was worn continuously for 10 days. Cosmetic Assessment Standardized photographs were taken by a professional medical photographer preoperatively and 6 months postoperatively. These photographs were graded by a panel according to the classification of Knize (Fig. 1) [8]. The panel consisted of three plastic surgeons and two plastic surgery residents. Two slides were used for this evaluation: the frontal view of the patient and the left profile. Results The described technique was used for 15 patients (all female) with a mean age of 57 years (range = years). Ultrasonic energy was applied for an average of 2 min (range = 45 s 6.5 min). The mean aspiration volume was 125 ml (range = ml). No hematoma, seroma, infection, skin necrosis, contour irregularity, or other complications were encountered in this series. The preoperative status (degree of obliquity of the cervicomental angle) and the postoperative results at 6 months, as graded by the panel, are given in Table 1. After treatment significant improvement of the cervicomental angle was observed (Figs. 2 5). Discussion In our opinion too often a total face-lift procedure is performedtocorrectthesubmental laxity. As a result, the deformity is corrected but often visible periauricular scarring may not be avoided. To prevent this, many other techniques have been described. One technique involves cervicoplasty without skin excision, predominantly performed without skin excision [3, 6, 7, 10]. Other techniques involve excision of redundant neck skin and fat with platysma plication and Z-plasty closure of the skin [1, 2, 9], or a platysmaplasty with or without suction-assisted lipectomy of the submental area [5, 8, 11, 12]. Only one article favors a technique of cervicofacial rejuvenation that involves UAL as a single procedure [4]. UAL has several advantages over conventional liposuction. Using UAL, fat is more selectively emulsified,

3 792 Aesth Plast Surg (2008) 32: Fig. 2 Preoperative (left) grade III and postoperative (right) grade I II views of patient with Fig. 3 Preoperative (left) grade III and postoperative (right) grade I II views of patient with leaving the higher-density fibroconnective tissues relatively undamaged [15 17]. Moreover, UAL performed in the appropriate subdermal plane allows for skin contraction in the postoperative healing period, abolishing the need for adjuvant skin resection [18 20]. Our experience confirmed that UAL could prevent skin excision as a result of considerable skin contraction (Figs. 2 4), even in older patients (Fig. 5). We advocate limiting the application of ultrasound to a few minutes; in this period the rate of emulsification is greater than

4 Aesth Plast Surg (2008) 32: Fig. 4 Preoperative (left) grade II III and postoperative (right) grade I views of patient with Fig. 5 Skin contraction in a 73- year-old patient. Preoperative (left) grade IV and postoperative (right) grade III views of patient with cervicomental angle deformity the rate of evacuation. Afterward, we evacuate the residual liquefied tissue by conventional liposuction with a 3-mm cannula. Limiting the period of ultrasound use will help to prevent excessive postoperative seroma formation [15, 21, 22]. In the present study we observed a significant improvement in the cervicomental angle by using a combination of UAL and limited-incision platysmaplasty. This method produces good, predictable results and is safe. However, patients must be carefully screened and the

5 794 Aesth Plast Surg (2008) 32: limitations of the procedure clearly spelled out. These patients will obtain improvement in profile only, with no improvement in the midface [13]. Also, many older patients with submental fullness and moderate residual submental skin tone can benefit from this approach (Fig. 5). This procedure also eliminates unnecessary periauricular scarring. This was also concluded by Knize [8], who performed limited-incision submental lipectomy using conventional liposuction and platysmaplasty on 56 patients. Conclusion For treatment of all grades of the aging neck we advocate the combination of UAL and limited-incision platysmaplasty. This combination therapy has little morbidity and leads uniformly to significant improvement of the cervicomental angle. Open Access This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. References 1. Biggs TM Jr (1980) T-Z-plasty for the male turkey gobbler neck. Plast Reconstr Surg 65: Cronin TD, Biggs TM (1971) The Z-plasty for the male turkey gobbler neck. Plast Reconstr Surg 47: Giampapa VC, Di Bernardo BE (1995) Neck recontouring with suture suspension and liposuction: an alternative for early rhytidectomy candidate. Aesthetic Plast Surg 19: Grotting JC, Beckenstein MS (2001) Cervicofacial rejuvenation using ultrasound-assisted lipectomy. Plast Reconstr Surg 107: Gryskiewicz JM (2003) Submental suction-assisted lipectomy without platysmaplasty: pushing the (skin) envelope to avoid a face lift for unsuitable candidates. Plast Reconst Surg 112: Guerrerosantos J (1978) The role of the platysma muscle in rhytidoplasty. Clin Plast Surg 5: Guerrerosantos J, Ramirez OM, Espaillat L (1972) Ritidoplastia cervicofacial. Rev Lat Am Cir Plast 14: Knize DM (1998) Limited incision submental lipectomy and platysmaplasty. Plast Reconstr Surg 101: Miller TA, Orringer JS (1996) Excision of neck redundancy with single Z-plasty closure. Plast Reconstr Surg 97: Ramirez OM (1997) Cervicoplasty: non-excisional anterior approach. Plast Reconstr Surg 99: Singer R (1984) Improvement of the young fatty neck. Plast Reconstr Surg 73: Teimourian B (1983) Face and neck suction-assisted lipectomy associated with rhytidectomy. Plast Reconstr Surg 72: Zins JE, Fardo D (2005) The anterior-only approach to neck rejuvenation: an alternative to face lift surgery. Plast Reconstr Surg 115: Chalekson C, Wilhelmi BJ, Neumeister M (2006) Liposuction, techniques. E-medicine. Available at plastic/topic486. Accessed March Gingrass MK, Kenkel JM (1999) Comparing ultrasound-assisted lipoplasty with suction-assisted lipoplasty. Clin Plast Surg 26: Kenkel JM, Gingrass MK, Rohrich RJ (1999) Ultrasound-assisted lipoplasty. Basic science and clinical research. Clin Plast Surg 26: Kenkel JM, Robinson JB Jr, Beran SJ, Tan J, Howard BK, Zocchi ML, Rohrich RJ (1998) The tissue effects of ultrasound-assisted lipoplasty. Plast Reconstr Surg 102: Grotting JC, Beckenstein MS (1999) The solid-probe technique in ultrasound-assisted lipoplasty. Clin Plast Surg 26: Zocchi ML (1996) Ultrasonic assisted lipoplasty. Technical refinements and clinical evaluations. Clin Plast Chir 23: Zocchi ML (1999) Basic physics for ultrasound-assisted lipoplasty. Clin Plast Chir 26: Maxwell GP, Gingrass MK (1997) Ultrasound assisted body contouring; a clinical study of 250 consecutive patients. Plast Reconstr Surg 101: Rohrich RJ, Berjan SJ, Kenkel JM, Adams WP Jr, DiSpaltro F (1998) Extending the role of liposuction in body contouring with ultrasound-assisted liposuction. Plast Reconstr Surg 101:

Most patients who seek facial rejuvenation are COSMETIC. A 26-Year Experience with Vest-over-Pants Technique Platysmarrhaphy.

Most patients who seek facial rejuvenation are COSMETIC. A 26-Year Experience with Vest-over-Pants Technique Platysmarrhaphy. COSMETIC A 26-Year Experience with Vest-over-Pants Technique Platysmarrhaphy Bahman Guyuron, M.D. Eman Yahya Sadek, M.D. Rouzbeh Ahmadian, M.D. Cleveland, Ohio Background: The purpose of this article is

More information

According to the American Society for Aesthetic

According to the American Society for Aesthetic INTERNTIONL ONTRIUTION omparative nalysis of lood Loss in Suction-ssisted Lipoplasty and Third-Generation Internal Ultrasound-ssisted Lipoplasty Onelio Garcia, Jr, MD; and Nirmal Nathan ackground: Lipoplasty

More information

Studies and reports have been written on the role of

Studies and reports have been written on the role of José Guerrerosantos, MD Dr. Guerrerosantos, Guadalajara, Mexico, is Chairman and Professor, Graduate School of the University Center of Health Sciences, University of Guadalajara; and a member of the Mexican

More information

The Percutaneous Trampoline Platysmaplasty: Technique and Experience With 105 Consecutive Patients

The Percutaneous Trampoline Platysmaplasty: Technique and Experience With 105 Consecutive Patients Facial Surgery The Percutaneous Trampoline Platysmaplasty: Technique and Experience With 105 Consecutive Patients Aesthetic Surgery Journal 32(1) 11 24 2012 The American Society for Aesthetic Plastic Surgery,

More information

The effect of ultrasound-assisted liposuction and conventional liposuction on the perforator vessels in the lower abdominal wall

The effect of ultrasound-assisted liposuction and conventional liposuction on the perforator vessels in the lower abdominal wall British Journal of Plastic Surgery (2003), 56, 266 271 q 2003 The British Association of Plastic Surgeons. Published by Elsevier Science Ltd. All rights reserved. doi:10.1016/s0007-1226(03)00112-7 The

More information

Defining the Fat Compartments in the Neck: A Cadaver Study

Defining the Fat Compartments in the Neck: A Cadaver Study 526406AESXXX10.1177/1090820X14526406Aesthetic Surgery JournalLarson et al research-article2014 Facial Surgery Defining the Fat Compartments in the Neck: A Cadaver Study Jeffrey D. Larson, MD; William S.

More information

This article appeared in a journal published by Elsevier. The attached copy is furnished to the author for internal non-commercial research and

This article appeared in a journal published by Elsevier. The attached copy is furnished to the author for internal non-commercial research and This article appeared in a journal published by Elsevier. The attached copy is furnished to the author for internal non-commercial research and education use, including for instruction at the authors institution

More information

ALTERNATIVE TREATMENT

ALTERNATIVE TREATMENT INFORMED CONSENT LIPOSUCTION (SUCTION- ASSISTED LIPECTOMY SURGERY) (ULTRASOUND- ASSISTED LIPECTOMY SURGERY) (LASER ASSISTED LIPOSUCTION SURGERY) INSTRUCTIONS This is an informed- consent document that

More information

One of the most common questions asked by COSMETIC. Longevity of SMAS Facial Rejuvenation and Support. 229

One of the most common questions asked by COSMETIC. Longevity of SMAS Facial Rejuvenation and Support.  229 COSMETIC Longevity of SMAS Facial Rejuvenation and Support Michael J. Sundine, M.D. Vasileios Kretsis, M.D. Bruce F. Connell, M.D. Newport Beach and Santa Ana, Calif.; and Athens, Greece Background: One

More information

Vertical mammaplasty has been developed

Vertical mammaplasty has been developed BREAST Y-Scar Vertical Mammaplasty David A. Hidalgo, M.D. New York, N.Y. Background: Vertical mammaplasty is an effective alternative to inverted-t methods. Among other benefits, it results in a significantly

More information

Our Experience with Endoscopic Brow Lifts

Our Experience with Endoscopic Brow Lifts Aesth. Plast. Surg. 24:90 96, 2000 DOI: 10.1007/s002660010017 2000 Springer-Verlag New York Inc. Our Experience with Endoscopic Brow Lifts Ozan Sozer, M.D., and Thomas M. Biggs, M.D. İstanbul, Turkey and

More information

Champagne Groove Lipectomy: A Safe Technique to Contour the Upper Abdomen in Abdominoplasty

Champagne Groove Lipectomy: A Safe Technique to Contour the Upper Abdomen in Abdominoplasty Champagne Groove Lipectomy: A Safe Technique to Contour the Upper Abdomen in Abdominoplasty Ron Brooks, MD, Jonathan Nguyen, MD, Saeed Chowdhry, MD, John Paul Tutela, MD, Sean Kelishadi, MD, David Yonick,

More information

plastic surgery reconstructive surgery aesthetic surgery

plastic surgery reconstructive surgery aesthetic surgery Liposuction Liposuction is a procedure that can help sculpt the body by removing unwanted fat from specific areas, including the abdomen, hips, buttocks, thighs, knees, upper arms, chin, cheeks and neck.

More information

Body contouring by combined abdominoplasty and medial vertical thigh reduction: experience of 14 cases

Body contouring by combined abdominoplasty and medial vertical thigh reduction: experience of 14 cases The British Association of Plastic Surgeons (2004) 57, 222 227 Body contouring by combined abdominoplasty and medial vertical thigh reduction: experience of 14 cases M.G. Ellabban*, N.B. Hart Plastic Surgery

More information

Surgical Pearls in the Management of Body Contouring by Liposculpture from Fournier s Syringe to Lipomatic

Surgical Pearls in the Management of Body Contouring by Liposculpture from Fournier s Syringe to Lipomatic Surgical Pearls in the Management of Body Contouring by Liposculpture from Fournier s Syringe to Lipomatic By Constantin STAN, M.D. The MEDICAL SERVICE Clinic - Romania PEARLS little concepts that can

More information

MICHAEL J. BROWN, M.D., P.L.L.C. Aesthetic Cosmetic Plastic Surgery

MICHAEL J. BROWN, M.D., P.L.L.C. Aesthetic Cosmetic Plastic Surgery MICHAEL J. BROWN, M.D., P.L.L.C. Aesthetic Cosmetic Plastic Surgery INFORMED-CONSENT SUCTION ASSISTED LIPECTOMY SURGERY WITH FAT RE-INJECTION INSTRUCTIONS This is an informed-consent document that has

More information

There have been studies made to quantify the amount of fat in the neck; it appears that the volumetric changes associated with the neck is an

There have been studies made to quantify the amount of fat in the neck; it appears that the volumetric changes associated with the neck is an There have been studies made to quantify the amount of fat in the neck; it appears that the volumetric changes associated with the neck is an interplay of the subplatysmal and pre-platysmal fat pads. INJECTABLES

More information

Controlled Results with Abdominoplasty

Controlled Results with Abdominoplasty Aesth. Plast. Surg. 25:357 364, 2001 DOI: 10.1007/s00266-001-0010-1 2001 Springer-Verlag New York Inc. Controlled Results with Abdominoplasty Richard A. Baxter, M.D., F.A.C.S. Mountlake Terrace, WA, USA

More information

A Novel Approach to Submandibular Gland Ptosis: Creation of a Platysma Muscle and Hyoid Bone Cradle

A Novel Approach to Submandibular Gland Ptosis: Creation of a Platysma Muscle and Hyoid Bone Cradle A Novel Approach to Submandibular Gland Ptosis: Creation of a Platysma Muscle and Hyoid Bone Cradle Robert Lukavsky 1, Gary Linkov 2, Christopher Fundakowski 2,3 1 Department of General Surgery, Temple

More information

A New Approach for Adipose Tissue Treatment and Body Contouring Using Radiofrequency-Assisted Liposuction

A New Approach for Adipose Tissue Treatment and Body Contouring Using Radiofrequency-Assisted Liposuction Aesth Plast Surg (2009) 33:687 694 DOI 10.1007/s00266-009-9342-z ORIGINAL ARTICLE A New Approach for Adipose Tissue Treatment and Body Contouring Using Radiofrequency-Assisted Liposuction Malcolm Paul

More information

Mons Pubis Ptosis: Classification and Strategy for Treatment

Mons Pubis Ptosis: Classification and Strategy for Treatment Aesth Plast Surg (2011) 35:24 30 DOI 10.1007/s00266-010-9552-4 ORIGINAL ARTICLE Mons Pubis Ptosis: Classification and Strategy for Treatment Hamdy A. El-Khatib Received: 2 April 2010 / Accepted: 25 June

More information

Unsatisfactory Results of Liposuction

Unsatisfactory Results of Liposuction Unsatisfactory Results of Liposuction Editor s note: My thanks to the moderator, Joseph P. Hunstad, MD (board-certified plastic surgeon and SPS member, Charlotte, NC), and to panelists Richard. D mico,

More information

Anti-aging treatments that harness the hands of time

Anti-aging treatments that harness the hands of time www.cosmeticsurgerytimes.com Part of the Modified Avelar abdominoplasty 34 SEPTEMBER 2011 Vol. 14 No. 8 Flap resection for inner thigh lifting 36 Anti-aging treatments that harness the hands of time Facelifting

More information

Adults with a capacious midface who desire refinement,

Adults with a capacious midface who desire refinement, Managing the uccal Fat Pad The author performs buccal fat pad excision to improve facial contour in some patients with buccal lipodystrophy and to treat buccal fat pad pseudoherniation. He recommends an

More information

Development and Validation of a Clinical Assessment Tool for Platysmal Banding in Cervicomental Aesthetics of the Female Neck

Development and Validation of a Clinical Assessment Tool for Platysmal Banding in Cervicomental Aesthetics of the Female Neck Facial Surgery Development and Validation of a Clinical Assessment Tool for Platysmal Banding in Cervicomental Aesthetics of the Female Neck Aesthetic Surgery Journal 2015, Vol 35(6) NP141 NP146 2015 The

More information

The overlap of lipoplasty and abdominoplasty: indication, classification, and treatment

The overlap of lipoplasty and abdominoplasty: indication, classification, and treatment Clin Plastic Surg 31 (2004) 539 553 The overlap of lipoplasty and abdominoplasty: indication, classification, and treatment Luiz S. Toledo, MD Private Practice, Av. Brg. Luiz Antônio, 4442, São Paulo,

More information

Lipoabdominoplasty: The Saldanha Technique

Lipoabdominoplasty: The Saldanha Technique Lipoabdominoplasty: The Saldanha Technique Osvaldo R. Saldanha, MD a, *,Sergio F.D. Azevedo, MD a,b,c, Pablo S.F. Delboni, MD a,b,c, Osvaldo R. Saldanha Filho, MD a,d, Cristianna B. Saldanha a,e, Luis

More information

The eutrophic rhytidoplasty

The eutrophic rhytidoplasty Eur J Plast Surg (2013) 36:87 94 DOI 10.1007/s00238-012-0767-2 ORIGINAL PAPER The eutrophic rhytidoplasty Subdermal tunneling and minimal skin undermining Marcelo Daher & Alan Rodriguez Muñiz Received:

More information

Abdominal contour surgery has undergone a number of refinements as our understanding

Abdominal contour surgery has undergone a number of refinements as our understanding bdominal Contour Surgery: Treating ll esthetic Units, Including the Mons Pubis lan Matarasso, MD; and Steven G. Wallach, MD ackground: Many patients who seek abdominal contour surgery also desire improvement

More information

A systematic approach to the surgical treatment of gynaecomastia

A systematic approach to the surgical treatment of gynaecomastia British Journal of Plastic Surgery (2003), 56, 237 246 q 2003 The British Association of Plastic Surgeons. Published by Elsevier Science Ltd. All rights reserved. doi:10.1016/s0007-1226(03)00111-5 A systematic

More information

Abdominal Wall Modification for the Difficult Ostomy

Abdominal Wall Modification for the Difficult Ostomy Abdominal Wall Modification for the Difficult Ostomy David E. Beck, M.D. 1 ABSTRACT A select group of patients with major stomal problems may benefit from operative modification of the abdominal wall.

More information

Tumescent Liposuction

Tumescent Liposuction Standards & Guidelines October 2015 v5 Serving the public by guiding the medical profession Revision date: October 2015 v5 Approval date: September 1999 Originating Committee: Advisory Committee on Non-Hospital

More information

CHAPTER 17 FACIAL AESTHETIC SURGERY. Christopher C. Surek, DO and Mohammed S. Alghoul, MD. I. BROW LIFT (Figures 1 and 2)

CHAPTER 17 FACIAL AESTHETIC SURGERY. Christopher C. Surek, DO and Mohammed S. Alghoul, MD. I. BROW LIFT (Figures 1 and 2) CHAPTER 17 FACIAL AESTHETIC SURGERY Christopher C. Surek, DO and Mohammed S. Alghoul, MD I. BROW LIFT (Figures 1 and 2) A. Open Coronal Brow Lift Technique 1. Coronal incision is made in the hair-bearing

More information

Cleft lip is the most common craniofacial

Cleft lip is the most common craniofacial Ideas and Innovations Fat Grafting in Primary Cleft Lip Repair Elizabeth Gordon Zellner, M.D. Miles J. Pfaff, M.D. Derek M. Steinbacher, M.D., D.M.D. New Haven, Conn. Summary: The goal of primary cleft

More information

The history of face lift surgery encompasses a wide

The history of face lift surgery encompasses a wide Richard Ellenbogen, MD; Anthony Youn, MD; Dan Yamini, MD; and Steven Svehlak, MD Dr. Ellenbogen, Dr. Yamini, and Dr. Svehlak are in private practice in Los Angeles, CA. Dr. Youn is in private practice

More information

world [2]. One product of such innovative engineering in is the ultrasound-assisted liposuction

world [2]. One product of such innovative engineering in is the ultrasound-assisted liposuction Taewoo Kim Dr. Ramsey WRIT 340 4/12/2013 Sculpting the Human Body with VASER Ultrasound-Assisted Liposuction Abstract Traditional liposuction methods often involved direct mechanical cutting of the fat

More information

Gynecomastia is a common aesthetic problem. A New Classification and Treatment Protocol for Gynecomastia. Breast Surgery

Gynecomastia is a common aesthetic problem. A New Classification and Treatment Protocol for Gynecomastia. Breast Surgery reast Surgery A New lassification and Treatment Protocol for Gynecomastia INTERNATIONAL ONTRIUTION. Venkata Ratnam, MS, MS(Orth), Mh(Plast) ackground: It is not uncommon to encounter patients who have

More information

Lipoabdominoplasty: Liposuction with Reduced Undermining and Traditional Abdominal Skin Flap Resection

Lipoabdominoplasty: Liposuction with Reduced Undermining and Traditional Abdominal Skin Flap Resection Aesth. Plast. Surg. 30:1 8, 2006 DOI: 10.1007/s00266-004-0084-7 Original Articles Lipoabdominoplasty: Liposuction with Reduced Undermining and Traditional Abdominal Skin Flap Resection Ruth Graf, M.D.,

More information

Superior Pedicle Vertical Scar Mammaplasty: Surgical Technique

Superior Pedicle Vertical Scar Mammaplasty: Surgical Technique Superior Pedicle Vertical Scar Mammaplasty: Surgical Technique 4 Foad Nahai A man honours himself by not displaying all the knowledge he has acquired. Folk Tradition Introduction I first tried the vertical

More information

Aesthetic and Functional Abdominal Wall Reconstruction After Multiple Bowel Perforations Secondary to Liposuction

Aesthetic and Functional Abdominal Wall Reconstruction After Multiple Bowel Perforations Secondary to Liposuction Aesthetic and Functional Abdominal Wall Reconstruction After Multiple Bowel Perforations Secondary to Liposuction Aesthetic Plastic Surgery ISSN 0364-216X Volume 35 Number 2 Aesth Plast Surg (2011) 35:274-277

More information

ORIGINAL ARTICLE. Improving Surgery on the Aging Neck With an Adjustable Expanded Polytetrafluoroethylene Cervical Sling

ORIGINAL ARTICLE. Improving Surgery on the Aging Neck With an Adjustable Expanded Polytetrafluoroethylene Cervical Sling Improving Surgery on the Aging Neck With an Adjustable Expanded Polytetrafluoroethylene Cervical Sling Arvind Prabhat, MD; Wallace K. Dyer II, MD ORIGINAL ARTICLE Objectives: To evaluate the ability of

More information

ORIGINAL ARTICLE. Improving Surgery on the Aging Neck With an Adjustable Expanded Polytetrafluoroethylene Cervical Sling

ORIGINAL ARTICLE. Improving Surgery on the Aging Neck With an Adjustable Expanded Polytetrafluoroethylene Cervical Sling Improving Surgery on the Aging Neck With an Adjustable Expanded Polytetrafluoroethylene Cervical Sling Arvind Prabhat, MD; Wallace K. Dyer II, MD ORIGINAL ARTICLE Objectives: To evaluate the ability of

More information

Soft Tissue Contraction in Body Contouring With Radiofrequency-Assisted Liposuction: A Treatment Gap Solution

Soft Tissue Contraction in Body Contouring With Radiofrequency-Assisted Liposuction: A Treatment Gap Solution Supplement Soft Tissue Contraction in Body Contouring With Radiofrequency-Assisted Liposuction: A Treatment Gap Solution Aesthetic Surgery Journal 2018, Vol 38(S2) S74 S83 2018 The American Society for

More information

The question Which face lift technique is COSMETIC. A Comparison of Face Lift Techniques in Eight Consecutive Sets of Identical Twins

The question Which face lift technique is COSMETIC. A Comparison of Face Lift Techniques in Eight Consecutive Sets of Identical Twins COSMETIC A Comparison of Face Lift Techniques in Eight Consecutive Sets of Identical Twins Darrick E. Antell, M.D., D.D.S. Michael J. Orseck, M.D. New York, N.Y. Background: Selecting the correct face

More information

ISPUB.COM. Cutting Burr Otoplasty. D Wynne, N Balaji INTRODUCTION ANATOMY CUTTING BURR TECHNIQUE

ISPUB.COM. Cutting Burr Otoplasty. D Wynne, N Balaji INTRODUCTION ANATOMY CUTTING BURR TECHNIQUE ISPUB.COM The Internet Journal of Otorhinolaryngology Volume 7 Number 1 D Wynne, N Balaji Citation D Wynne, N Balaji.. The Internet Journal of Otorhinolaryngology. 2006 Volume 7 Number 1. Abstract Prominent

More information

There are numerous suture techniques described for nasal. Septocolumellar Suture in Closed Rhinoplasty ORIGINAL ARTICLE

There are numerous suture techniques described for nasal. Septocolumellar Suture in Closed Rhinoplasty ORIGINAL ARTICLE ORIGINAL ARTICLE Erdem Tezel, MD, and Ayhan Numanoğlu, MD Abstract: Several surgeons advise a variety of tip sutures and describe their own techniques in open approach. Septocolumellar suture is one of

More information

Surgical treatment of non-melanoma skin cancer of the head and neck: expanding reconstructive options van der Eerden, P.A.

Surgical treatment of non-melanoma skin cancer of the head and neck: expanding reconstructive options van der Eerden, P.A. UvA-DARE (Digital Academic Repository) Surgical treatment of non-melanoma skin cancer of the head and neck: expanding reconstructive options van der Eerden, P.A. Link to publication Citation for published

More information

INFORMED-CONSENT-FACELIFT SURGERY (Rhytidectomy)

INFORMED-CONSENT-FACELIFT SURGERY (Rhytidectomy) INFORMED-CONSENT-FACELIFT SURGERY (Rhytidectomy) 2000 American Society of Plastic Surgeons. Purchasers of the Patient Consultation Resource Book are given a limited license to modify documents contained

More information

Panniculectomy and Abdominoplasty

Panniculectomy and Abdominoplasty Medical Coverage Policy Panniculectomy and Abdominoplasty Table of Contents Effective Date... 3/15/2018 Next Review Date... 3/15/2019 Coverage Policy Number... 0027 Related Coverage Resources Coverage

More information

KAROL A. GUTOWSKI, MD, FACS AESTHETIC SURGERY CERTIFIED BY THE AMERICAN BOARD OF PLASTIC SURGERY MEMBER AMERICAN SOCIETY OF PLASTIC SURGEONS

KAROL A. GUTOWSKI, MD, FACS AESTHETIC SURGERY CERTIFIED BY THE AMERICAN BOARD OF PLASTIC SURGERY MEMBER AMERICAN SOCIETY OF PLASTIC SURGEONS INFORMED CONSENT FOR LIPOSUCTION INCLUDES: TUMESCENT LIPOSUCTION ULTRASOUND ASSISTED LIPOSUCTION (UAL) WATER ASSISTED LIPOSUCTION (WAL) POWER ASSISTED LIPOSUCTION (PAL) LASER ASSISTED LIPOSUCTION (LAL)

More information

Cigna Medical Coverage Policy

Cigna Medical Coverage Policy Cigna Medical Coverage Policy Subject Panniculectomy and Abdominoplasty Table of Contents Coverage Policy... 1 General Background... 2 Coding/Billing Information... 4 References... 5 Effective Date...

More information

Throughout time, body contouring has been

Throughout time, body contouring has been FOLLOW-UP Combined Gluteoplasty: Liposuction and Gluteal Implants Lázaro Cárdenas-Camarena, M.D. Juan Carlos Paillet, M.D. Zapopan, Jalisco, Mexico; and Santa Fe, Argentina Throughout time, body contouring

More information

2000 Winner. Robert F. Jackson, MD, F.A.C.S.

2000 Winner. Robert F. Jackson, MD, F.A.C.S. 2000 Winner Robert F. Jackson, MD, F.A.C.S. Contouring The Abdomen Using Liposuction, Rectus Plication,, and Crescent Tuck Abdominoplasty A Ten Year Experience Robert F. Jackson, M.D.,F.A.C.S. Contouring

More information

The evolution of lipoplasty technique1 has in turn

The evolution of lipoplasty technique1 has in turn Full bdominoplasty With Circumferential Lipoplasty Lázaro Cárdenas-Camarena, MD; and Victor Laguna-arraza, MD Dr. Cárdenas-Camarena is from the Instituto Jalisciense de Cirugía Reconstructiva in Guadalajara,

More information

Lipoaspiration and Its Complications: A Safe Operation

Lipoaspiration and Its Complications: A Safe Operation Techniques in Cosmetic Surgery Lipoaspiration and Its Complications: A Safe Operation Lázaro Cárdenas-Camarena, M.D. Guadalajara, Mexico Although lipoaspiration has been considered a safe surgical procedure

More information

Patients are often aware of and concerned about. Reducing the Incidence of Ear Deformity in Facelift. Facial Surgery.

Patients are often aware of and concerned about. Reducing the Incidence of Ear Deformity in Facelift. Facial Surgery. Facial Surgery Reducing the Incidence of Ear Deformity in Facelift Daniel Man, MD Background: The telltale signs associated with facelift procedures, including tightening of the lower face (lateral sweep),

More information

Reducing Seroma in Outpatient Abdominoplasty: Analysis of 516 Consecutive Cases

Reducing Seroma in Outpatient Abdominoplasty: Analysis of 516 Consecutive Cases Body Contouring Reducing Seroma in Outpatient Abdominoplasty: Analysis of 516 Consecutive Cases Aesthetic Surgery Journal 30(3) 418 427 2010 The American Society for Aesthetic Plastic Surgery, Inc. Reprints

More information

We are IntechOpen, the world s leading publisher of Open Access books Built by scientists, for scientists. International authors and editors

We are IntechOpen, the world s leading publisher of Open Access books Built by scientists, for scientists. International authors and editors We are IntechOpen, the world s leading publisher of Open Access books Built by scientists, for scientists 4,100 116,000 120M Open access books available International authors and editors Downloads Our

More information

Hemostatic Net in Rhytidoplasty: An Efficient and Safe Method for Preventing Hematoma in 405 Consecutive Patients

Hemostatic Net in Rhytidoplasty: An Efficient and Safe Method for Preventing Hematoma in 405 Consecutive Patients Aesth Plast Surg (2014) 38:1 9 DOI 10.1007/s00266-013-0202-5 ORIGINAL ARTICLE AESTHETIC Hemostatic Net in Rhytidoplasty: An Efficient and Safe Method for Preventing Hematoma in 405 Consecutive Patients

More information

Scientific Forum. Ultrasound-assisted Breast Reduction and Mastopexy

Scientific Forum. Ultrasound-assisted Breast Reduction and Mastopexy Ultrasound-assisted Breast Reduction and Mastopexy Alberto di Giuseppe, MD; and Matteo Santoli, MD Background: The development of technology for ultrasound-assisted lipoplasty (UAL) offers the aesthetic

More information

Redundant Skin Surgery

Redundant Skin Surgery Medical Coverage Policy Effective Date...10/15/2017 Next Review Date...10/15/2018 Coverage Policy Number... 0470 Redundant Skin Surgery Table of Contents Coverage Policy... 1 Overview... 2 General Background...

More information

Surgical Correction of Crow s Feet Deformity With Radiofrequency Current

Surgical Correction of Crow s Feet Deformity With Radiofrequency Current INTERNATIONAL CONTRIBUTION Oculoplastic Surgery Surgical Correction of Crow s Feet Deformity With Radiofrequency Current Min-Hee Ryu, MD; David Kahng, MD; and Yongho Shin, MD, PhD Aesthetic Surgery Journal

More information

Abdominoplasty/Panniculectomy/Lipectomy

Abdominoplasty/Panniculectomy/Lipectomy Abdominoplasty/Panniculectomy/Lipectomy Description of Procedure or Service Panniculectomy is a surgical procedure used to remove a panniculus, which is an apron of fat and skin that hangs from the front

More information

Augmentation of the Ptotic Breast: Simultaneous Periareolar Mastopexy/Breast Augmentation By: Laurence Kirwan, M.D., F.R.C.S

Augmentation of the Ptotic Breast: Simultaneous Periareolar Mastopexy/Breast Augmentation By: Laurence Kirwan, M.D., F.R.C.S Augmentation of the Ptotic Breast: Simultaneous Periareolar Mastopexy/Breast Augmentation By: Laurence Kirwan, M.D., F.R.C.S Background: Submusculofascial augmentation of the ptotic breast can result in

More information

Treating Axillary Hyperhidrosis/Bromidrosis with VASER Ultrasound. By George W. Commons, M.D., F.A.C.S.

Treating Axillary Hyperhidrosis/Bromidrosis with VASER Ultrasound. By George W. Commons, M.D., F.A.C.S. Treating Axillary Hyperhidrosis/Bromidrosis with VASER Ultrasound By George W. Commons, M.D., F.A.C.S. Objective Treatment of axillary hyperhidrosis/bromidrosis Patient Selection Primary axillary hyperhidrosis

More information

No Drain Abdominoplasty: No More Excuses. Karol A Gutowski, MD, FACS

No Drain Abdominoplasty: No More Excuses. Karol A Gutowski, MD, FACS No Drain Abdominoplasty: No More Excuses Karol A Gutowski, MD, FACS Disclosures NO financial interests in any suture company Will use brand names due to lack of distinguishing generic names Objectives

More information

Reduction of Lipoplasty Risks and Mortality: An ASAPS Survey

Reduction of Lipoplasty Risks and Mortality: An ASAPS Survey Reduction of Lipoplasty Risks and Mortality: An ASAPS Survey Charles E. Hughes III, MD Background: Previously published articles presenting rates for lipoplasty morbidity and mortality have reported on

More information

Breast reduction surgery reduction mammaplasty Is it right for me? What to expect during your consultation Be prepared to discuss:

Breast reduction surgery reduction mammaplasty Is it right for me? What to expect during your consultation Be prepared to discuss: This guide is for women who are considering having an operation to lift their breasts. We advise that you talk to a plastic surgeon and only use this information as a guide to the procedure. Breast reduction

More information

INFORMED-CONSENT-ABDOMINOPLASTY SURGERY

INFORMED-CONSENT-ABDOMINOPLASTY SURGERY INFORMED-CONSENT-ABDOMINOPLASTY SURGERY 2000 American Society of Plastic Surgeons. Purchasers of the Patient Consultation Resource Book are given a limited license to modify documents contained herein

More information

Ideas and Innovations

Ideas and Innovations Ideas and Innovations First Female-to-Male Facial Confirmation Surgery with Description of a New Procedure for Masculinization of the Thyroid Cartilage (Adam s Apple) Jordan C. Deschamps-Braly, M.D. Caitlin

More information

Liposuction GUIDELINE

Liposuction GUIDELINE NON-HOSPITAL MEDICAL AND SURGICAL FACILITIES ACCREDITATION PROGRAM Liposuction GUIDELINE You may download, print or make a copy of this material for your non-commercial personal use. Any other reproduction

More information

Aesthetic reconstruction of the nasal tip using a folded composite graft from the ear

Aesthetic reconstruction of the nasal tip using a folded composite graft from the ear The British Association of Plastic Surgeons (2004) 57, 238 244 Aesthetic reconstruction of the nasal tip using a folded composite graft from the ear Yong Oock Kim*, Beyoung Yun Park, Won Jae Lee Institute

More information

No Drain Abdominoplasty: No More Excuses. Karol A Gutowski, MD, FACS Instructional Course

No Drain Abdominoplasty: No More Excuses. Karol A Gutowski, MD, FACS Instructional Course No Drain Abdominoplasty: No More Excuses Karol A Gutowski, MD, FACS Instructional Course Disclosures Suneva Medical Instructor Merz Advisory Board NO financial interests in any suture company Will use

More information

Article Outline Abstract. Patients and Methods Surgical Technique Results Discussion Acknowledgments REFERENCES

Article Outline Abstract. Patients and Methods Surgical Technique Results Discussion Acknowledgments REFERENCES Plastic & Reconstructive Surgery: Volume 104(6) November 1999 pp 1887-1899 Large-Volume Circumferential Liposuction with Tumescent Technique: A Sure and Viable Procedure [Cosmetic Special Topic] Cárdenas-Camarena,

More information

LIPOPLASTY. About Fat

LIPOPLASTY. About Fat LIPOPLASTY LIPOSUCTION AND FAT REMOVAL Liposuction in all its various guises has always been one of the most popular cosmetic surgical procedures. But before we go into details about how Liposuction is

More information

EndoRelease ENDOSCOPIC CUBITAL TUNNEL RELEASE SYSTEM

EndoRelease ENDOSCOPIC CUBITAL TUNNEL RELEASE SYSTEM EndoRelease ENDOSCOPIC CUBITAL TUNNEL RELEASE SYSTEM SURGICAL TECHNIQUE Up p e r Ex t r e m i t y So l u t i o n s ENDOSCOPIC CUBITAL TUNNEL RELEASE SYSTEM Description: The EndoRelease Endoscopic Cubital

More information

RECONSTRUCTION OF SCALP DEFECTS: AN INSTITUTIONAL EXPERIENCE Sathyanarayana B. C 1, Somashekar Srinivas 2

RECONSTRUCTION OF SCALP DEFECTS: AN INSTITUTIONAL EXPERIENCE Sathyanarayana B. C 1, Somashekar Srinivas 2 RECONSTRUCTION OF SCALP DEFECTS: AN INSTITUTIONAL EXPERIENCE Sathyanarayana B. C 1, Somashekar Srinivas 2 HOW TO CITE THIS ARTICLE: Sathyanarayana B. C, Somashekar Srinivas. Reconstruction of Scalp Defects:

More information

Fat Transfer

Fat Transfer Fat Transfer For those who would like to decrease unwanted fat in specific body areas while restoring or adding volume to other areas of the body, a fat transfer can improve body contours and revitalize

More information

The introduction of lipoplasty into the surgical armamentarium by Illouz1 has. Lipoabdominoplasty Without Undermining

The introduction of lipoplasty into the surgical armamentarium by Illouz1 has. Lipoabdominoplasty Without Undermining Lipoabdominoplasty Without Undermining Osvaldo Ribeiro Saldanha, MD; Ewaldo olivar de Souza Pinto, MD; Wilson Novaes Matos, Jr., MD; Reynaldo L. Lucon, MD; Felipe Magalhães, MD; and Érika Mônica Lopes

More information

CONSENT FOR LIPOSUCTION SURGERY

CONSENT FOR LIPOSUCTION SURGERY CONSENT FOR LIPOSUCTION SURGERY Liposuction is a surgical technique to remove unwanted deposits of fat from specific areas of the body, including the face and neck, upper arms, trunk, abdomen, buttocks,

More information

Barbed Sutures in Progressive Tension Suture Technique Abdominoplasty. Karol A Gutowski, MD

Barbed Sutures in Progressive Tension Suture Technique Abdominoplasty. Karol A Gutowski, MD Barbed Sutures in Progressive Tension Suture Technique Abdominoplasty Karol A Gutowski, MD 1 Disclosures Speakers Bureau for AngioTech since April 2011 (Makers of Quill bi-directional barbed sutures) Technique

More information

No Drain Abdominoplasty: No More Excuses. Karol A Gutowski, MD, FACS Instructional Course

No Drain Abdominoplasty: No More Excuses. Karol A Gutowski, MD, FACS Instructional Course No Drain Abdominoplasty: No More Excuses Karol A Gutowski, MD, FACS Instructional Course Disclosures Angiotech/Surgical Specialties - Advisory Board AxcelRx Pharmacuticals - Advisory Board Suneva Medical

More information

Various Surgical Techniques for Improving Body Contour

Various Surgical Techniques for Improving Body Contour Aesth. Plast. Surg. 29:446 455, 2005 DOI: 10.1007/s00266-005-0037-9 Various Surgical Techniques for Improving Body Contour La zaro Ca rdenas-camarena, M.D. Jalisco, Me xico Abstract. Body contouring surgery

More information

INFORMED CONSENT LIPOSUCTION

INFORMED CONSENT LIPOSUCTION INSTRUCTIONS This is an informed-consent document that has been prepared to help inform you concerning liposuction surgery (suction-assisted lipectomy and ultrasound-assisted lipectomy), its risks, and

More information

BraLineBackLift A Safe, Reliable, and Effective Method for Achieving Dramatic Results for Comprehensive Back Contouring

BraLineBackLift A Safe, Reliable, and Effective Method for Achieving Dramatic Results for Comprehensive Back Contouring 1 2 3 4 5 6 7 8 9 BraLineBackLift A Safe, Reliable, and Effective Method for Achieving Dramatic Results for Comprehensive Back Contouring Q2Q3 Joseph P. Hunstad, MD*, Phillip D. Khan, MD 10 Q4 11 12 KEYWORDS

More information

Fibular Bone Graft for Nasal Septal Reconstruction: A Case Report

Fibular Bone Graft for Nasal Septal Reconstruction: A Case Report 220 Nasal septal reconstruction Case Report Fibular Bone Graft for Nasal Septal Reconstruction: A Case Report Yakup Cil1* Diyarbakır Military Hospital, Department of Plastic Surgery 21000 Diyarbakır, Turkey

More information

Breast Augmentation and Mastopexy Using a Pectoral Muscle Loop

Breast Augmentation and Mastopexy Using a Pectoral Muscle Loop Aesth Plast Surg (2011) 35:333 340 DOI 10.1007/s00266-010-9612-9 ORIGINAL ARTICLE Breast Augmentation and Mastopexy Using a Pectoral Muscle Loop André Auersvald Luiz Augusto Auersvald Received: 28 April

More information

No Drain Abdominoplasty with Progressive Tension Sutures. Karol A Gutowski, MD, FACS

No Drain Abdominoplasty with Progressive Tension Sutures. Karol A Gutowski, MD, FACS No Drain Abdominoplasty with Progressive Tension Sutures Karol A Gutowski, MD, FACS Disclosures Suneva Medical Instructor Merz Advisory Board NO financial interests in any suture company Will use brand

More information

INFORMED CONSENT LIPOSUCTION

INFORMED CONSENT LIPOSUCTION INSTRUCTIONS This is an informed-consent document that has been prepared to help inform you concerning liposuction surgery (suction-assisted lipectomy and ultrasound-assisted lipectomy), its risks, and

More information

Safety Considerations and Fluid Resuscitation in Liposuction: An Analysis of 53 Consecutive Patients [Cosmetic]

Safety Considerations and Fluid Resuscitation in Liposuction: An Analysis of 53 Consecutive Patients [Cosmetic] Plastic & Reconstructive Surgery:Volume 102(6)November 1998pp 2220-2229 Safety Considerations and Fluid Resuscitation in Liposuction: An Analysis of 53 Consecutive Patients [Cosmetic] Trott, Suzanne A.

More information

Name of Policy: Reduction Mammaplasty

Name of Policy: Reduction Mammaplasty Name of Policy: Reduction Mammaplasty Policy #: 056 Latest Review Date: November 2013 Category: Surgery Policy Grade: D Background/Definitions: As a general rule, benefits are payable under Blue Cross

More information

GENERAL CONSENT FOR THIGH LIFT

GENERAL CONSENT FOR THIGH LIFT GENERAL CONSENT FOR THIGH LIFT GENERAL INFORMATION A medial thigh lift is a surgical procedure to remove excess skin and fatty tissue from the medial thighs. A medial thigh lift is not a surgical treatment

More information

Aesthetic Surgery Journal

Aesthetic Surgery Journal Aesthetic Surgery Journal http://aes.sagepub.com/ Aesthetic and Functional Satisfaction After Monsplasty in the Massive Weight Loss Population Jacob M. P. Bloom, Emily Van Kouwenberg, Michael Davenport,

More information

Despite breast reduction being one of the BREAST. Does Knowledge of the Initial Technique Affect Outcomes after Repeated Breast Reduction?

Despite breast reduction being one of the BREAST. Does Knowledge of the Initial Technique Affect Outcomes after Repeated Breast Reduction? BREAST Does Knowledge of the Initial Technique Affect Outcomes after Repeated Breast Reduction? Jamil Ahmad, M.D. Sarah M. McIsaac, M.D. Frank Lista, M.D. Mississauga and Ottawa, Ontario, Canada Background:

More information

Correction of Lipomastia through a Stab Incision on the Nipple Areolar Junction

Correction of Lipomastia through a Stab Incision on the Nipple Areolar Junction ORIGINL RTICLE http://dx.doi.org/10.14730/.2014.20.1.31 rch esthetic Plast Surg 2014;20(1):31-35 pissn: 2234-0831 rchives esthetic Plastic Surgery Correction Lipomastia through a Stab Incision on the Nipple

More information

Large full-thickness nasal tip defects after Mohs

Large full-thickness nasal tip defects after Mohs RECONSTRUCTIVE CONUNDRUM Repair of a Large, Exposed-Cartilage Nasal Tip Defect Using Nasalis-Based Subcutaneous Pedicle Flaps and Full-Thickness Skin Grafting DIEGO E. MARRA, MD, EDGAR F. FINCHER, MD,

More information

Effect of Depressor Septi Resection in Rhinoplasty on Upper Lip Length

Effect of Depressor Septi Resection in Rhinoplasty on Upper Lip Length Research Original Investigation Effect of Depressor Septi Resection in Rhinoplasty on Upper Lip Length Yan Ho, MD; Robert Deeb, MD; Richard Westreich, MD; William Lawson, MD, DDS IMPORTANCE Resection of

More information

INFORMED-CONSENT-THIGH LIFT INSTRUCTIONS

INFORMED-CONSENT-THIGH LIFT INSTRUCTIONS INFORMED-CONSENT-THIGH LIFT INSTRUCTIONS This is an informed-consent document that has been prepared to help the Doctor inform you of thigh lift surgery, its risks, as well as alternative treatments. At

More information

Cosmetic Surgery: Breast Reduction

Cosmetic Surgery: Breast Reduction PROCEDURE FACT SHEET PLASTIC SURGERY Cosmetic Surgery: Breast Reduction This guide is for women who are considering having an operation to lift their breasts. We advise that you talk to a plastic surgeon

More information

The vertical reduction mammaplasty was first

The vertical reduction mammaplasty was first Special Topic Technical Refinements of the Vertical Mammaplasty: A Modified Lejour Approach Steven G. Wallach, MD Dr. Wallach is Assistant Clinical Professor of Plastic Surgery, Albert Einstein College

More information